FORM 1023-EZ for EVOLVING WELLNESS CORP
| Field | Data |
|---|---|
| EIN | 83-1351910 |
| Case Number | EO-2018211-000198 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | EVOLVING WELLNESS CORP |
| Organization’s Mailing Address | 1912 FENWICK AVENUE |
| City | EAU CLAIRE |
| State | WI |
| ZIP | 54701-4418 |
| Accounting period End | 12 |
| Primary contact name | LAURA J BERNDT |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
LAURA BERNDT
PRESIDENT
1912 FENWICK AVENUE
EAU CLAIRE WI 54701
Officer/Director/Trustee Two
THOMAS BERNDT
VICE PRESIDENT
430 JEFFERSON ST
EAU CLAIRE WI 54701
Officer/Director/Trustee Three
BRADY ZWIEFELHOFER
SECRETARY
705 BAY ST 2D
CHIPPEWA FALLS WI 54729
Officer/Director/Trustee Four
TAMMY POTAPENKO
TREASURER
628 2ND ST W
ALTOONA WI 54720
Officer/Director/Trustee Five
JEANNINE COLBURN
MEMBER AT LARGE
225 RIVERFRONT DRIVE 102
EAU CLAIRE WI 54703
| Organization’s website | HTTPS://WWW.HOLISTICHEALTHANDWELLNESS.CO |
|---|---|
| Organization’s email | EVOLVINGWELLNESSHERO@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/20/18 |
| Organization Incorporation State | WI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E80 - Health, General and Financing |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes Scientific: No Literary: No Public Safety: No Amateur Sports: No Cruelty Prevention: No |
| Qualify For Exemption | No |
| Legislation influence | No |
| Compensation of Officer director trustee | No |
| Donation of funds | Yes |
| Conducting Activities Outside of United States | No |
| Financial transactions with officers | No |
| Unrelated Gross Income $1,000 or More | No |
| Gaming Activity | No |
| Disaster relief assistance | No |
| One Third Support Public | No |
| One Third Support Gifts | Yes |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | LAURA BERNDT |
| Signature Title | PRESIDENT |
| Signature Date | 7/26/18 |
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